People with Long Term Conditions

Annual Health Review

We offer and Annual Health Review to all of our patients with a Long Term Condition. You will be invited by text, letter or phone call in your BIRTHDAY Month for review.

We ask you to call us back on 02079284049 to speak to our Patient Services Team. They will guide you through the process. We will try to review as much as we can remotely given the current COVID 19 pandemic.

You might get sent a link via text message of a form to complete and return to us.

We might simply book you in for an appointment with our nursing team. We might book you in for a telephone call with one of our clinicians.

We try to review all of your conditions at the same time and ensure you are on the appropriate treatment plan, as well as feel empowered to look after your health.

Diabetes

You can complete a questionnaire about your diabetes by clicking on the following link if you prefer to have your review done remotely

Our lead for Diabetes care is Dr George Verghese.

We also review all patients diagnosed with Prediabetes Annually. You can find a wealth of information with Diabetes UK.

We take part in the National Diabetes Audit which helps to improve our care of patients:

Chronic Kidney Disease

We review this on an annual basis by checking your blood pressure and urine. You can find more information here.

Asthma and COPD

We ask patients to have an annual review of both these conditions. Where possible we can try to review your condition remotely and may send you a link to a questionnaire to complete. You can complete the questionnaire using the following link for asthma or the following link for COPD

Please look here for more information

Epilepsy

You can find more information here

Heart Disease and Heart Failure

You can complete a questionnaire using the following link if you prefer to have your review done remotely

You can find more information here

Dementia

You can find more information here

Cancer

We review patients yearly with a diagnosis of cancer. You can complete a questionnaire using the following link if you prefer to have your review remotely.

You can find more information here and here

Rheumatoid Arthritis

We review patients yearly with a diagnosis of rheumatoid arthritis. You can complete a questionnaire using the following link if you prefer to have your review remotely.

Severe Mental Health

We review patients yearly with a diagnosis of severe mental illness. This incorporates a review of your physical health as well. You can complete a questionnaire using the following link if you prefer to have your review remotely.

Depression

We review patients at least yearly with a diagnosis of depression. You can complete a questionnaire using the following link if you prefer to have your review done remotely.

High Blood Pressure ( Hypetension)

You can complete a questionnaire about your high blood pressure by clicking on the following link if you prefer to have your review done remotely

A blood pressure test is a simple way of checking if your blood pressure is too high or too low.
Blood pressure is the term used to describe the strength with which your blood pushes on the sides of your arteries as it’s pumped around your body.

High blood pressure (hypertension) can put a strain on your arteries and organs, which can increase your risk of developing serious problems such as heart attacks and strokes.
Low blood pressure (hypotension) isn’t usually as serious, although it can cause dizziness and fainting in some people.
A blood pressure test is the only way to find out if your blood pressure is too high or too low, because most people won’t have any obvious symptoms. Having a test is easy and could save your life.

When should I get my blood pressure tested?
You can ask for a blood pressure test if you’re worried about your blood pressure at any point.
You can get your blood pressure tested at a number of places, including:
at your local GP surgery
at some pharmacies
in some workplaces
at home (see home blood pressure testing below)
at an NHS Health Check appointment offered to adults in England aged 40-74
It’s recommended that all adults over 40 years of age have their blood pressure tested at least every five years so any potential problems can be detected early.
If you’ve already been diagnosed with high or low blood pressure, or you’re at a particularly high risk of these problems, you may need to have more frequent tests to monitor your blood pressure.

How blood pressure is tested
A device called a sphygmomanometer will be used to measure your blood pressure.
This usually consists of a stethoscope, arm cuff, pump and dial, although automatic devices that use sensors and have a digital display are also commonly used nowadays.
It’s best to sit down with your back supported and legs uncrossed for the test. You’ll usually need to roll up your sleeves or remove any long-sleeved clothing, so the cuff can be placed around your upper arm. Try to relax and avoid talking while the test is carried out.
During the test:
you hold out one of your arms so it’s at the same level as your heart, and the cuff is placed around it – your arm should be supported in this position, such as with a cushion or arm of a chair
the cuff is pumped up to restrict the blood flow in your arm – this squeezing may feel a bit uncomfortable, but only lasts a few seconds
the pressure in the cuff is slowly released while a stethoscope is used to listen to your pulse (digital devices use sensors to detect vibrations in your arteries)
the pressure in the cuff is recorded at two points as the blood flow starts to return to your arm – these measurements are used to give your blood pressure reading (see below)
You can usually find out your result straight away, either from the healthcare professional carrying out the test or on the digital display.

Home blood pressure monitoring
Blood pressure tests can also be carried out at home using your own digital blood pressure monitor.
This can give a better reflection of your blood pressure, as being tested in somewhere like a GP surgery can make you feel anxious and can affect the result. It can also allow you to monitor your condition more easily in the long term.
You can buy a variety of low-cost monitors so you can test your blood pressure at home or while you’re out and about.
It’s important to make sure you use equipment that has been properly tested. The British Hypertension Society (BHS) has information about validated blood pressure monitors that are available to buy.

We are actively encouraging patients to purchase their own home blood pressure monitors to reduce need to attend the surgery for a check up.

Ambulatory blood pressure monitoring
In some cases, your doctor may recommend 24-hour or ambulatory blood pressure monitoring (ABPM).
This is where your blood pressure is tested automatically around every 30 minutes over a 24-hour period using a cuff attached to a portable device worn on your waist.
ABPM can help to give a clear picture of how your blood pressure changes over the course of a day.
You should continue with your normal daily activities during the test, although you must avoid getting the equipment wet.

Understanding your blood pressure reading
Blood pressure is measured in millimetres of mercury (mmHg) and is given as two figures:
systolic pressure – the pressure when your heart pushes blood out
diastolic pressure – the pressure when your heart rests between beats
For example, if your blood pressure is “140 over 90” or 140/90mmHg, it means you have a systolic pressure of 140mmHg and a diastolic pressure of 90mmHg.

Controlling your blood pressure
If your blood pressure is found to be too high or too low, your GP or the healthcare professional performing the test can advise you about ways to control it.
This may involve:
adopting a healthy, balanced diet and restricting your salt intake
getting regular exercise
cutting down on alcohol
losing weight
stopping smoking
taking medication, such as angiotensin-converting enzyme (ACE) inhibitors or calcium channel blockers
In some cases, you may be referred to a doctor such as a cardiologist (heart specialist) to discuss treatment options.

You can find out more information here